Abstract
We report here the case of a 64-year-old man with sternal osteomyelitis after pneumonectomy through a median sternotomy who was successfully treated using a pedicled omental flap. This is the first report in the literature to describe sternal osteomyelitis and mediastinitis after pneumonectomy. In this case, the visceral pleura of the remnant right lung was located just under the infected sternum. Careful management is recommended because empyema pleurae can be a fatal complication.
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References
The Japan Lung Cancer Society. General rules for clinical pathological record of lung cancer, 5th edn Tokyo: Kanehara, 1999.
Grossi EA, Esposito R, Harris LJ, Crooke GA, Galloway AC, Colvin SB, et al. Sternal wound infections and use of internal mammary artery grafts. J Thorac Cardiovasc Surg 1991; 102: 342–7.
Serry C, Bleck PC, Javid H, Hunter JA, Goldin MD, DeLaria GA, et al. Sternal wound complications management and results. J Thorac Cardiovasc Surg 1980; 80: 861–7.
Jurkiewicz MJ, Bostwick J III, Hester TR, Bishop JB, Craver J. Infected median sternotomy wound. Ann Surg 1980; 191: 738–44.
Matsumura G, Tsuchiya K, Sato W, Kato J, Oosawa H, Iida R. Curative report of two cases with MRSA mediastinitis after cardiovascular surgery, treated by new irrigation technique, Jpn J Thorac Surg 1999; 52: 163–7.
Cheung EH, Craver JM, Jones EL, Murphy DA, Hatcher CR, Guyton RA, Mediastinitis after cardiac valve operations: impact upon survival. Thorac Cardiovasc Surg 1985; 90: 517–22.
Wornom IL III, Maragh H, Pozez A, Guerraty AJ. Use of the omentum in the management of sternal wound infection after cardiac transplantation. Plast Reconstr Surg 1995; 95: 697–702.
Michaels BM, Orgill DP, Decamp MM, Pribaz JJ, Eriksson E, Swanson S. Flap closure of postpneumonectomy empyema. Plast Reconstr Surg 1997, 99: 437–42.
Maeda M, Matsuzaki Y, Edogawa M, Shimizu T, Onitsuka T. Usefulness of the pedicled omental graft in thoracic surgery. Ann Thorac Cardiovasc Surg 1999, 5: 220–4.
Fix RJ, Vasconez LO. Use of the omentum in chestwall reconstruction. Surg Clin North Am 1989, 69: 1029–46.
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Miwa, K., Takamori, S., Mitsuoka, M. et al. Successful treatment of sternal osteomyelitis after pneumonectomy using a pedicled omental flap. Jpn J Thorac Caridovasc Surg 49, 522–524 (2001). https://doi.org/10.1007/BF02919550
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DOI: https://doi.org/10.1007/BF02919550